Paediatric gastrointestinal endoscopy in the Asian-Pacific region:Recent advances in diagnostic and therapeutic techniques
作者机构：Division of GastroenterologyHepatology and NutritionDepartment of PaediatricsKhoo Teck Puat-National University Children’s Medical InstituteNational University Health SystemSingapore 119228Singapore Department of PaediatricsYong Loo Lin School of Medicine National University of SingaporeSingapore 119228Singapore Department of PaediatricsFaculty of Medicine Ramathibodi HospitalMahidol UniversityBangkok 10400Thailand
出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)
年 卷 期：2023年第29卷第18期
页 面：2717-2732页
核心收录：
学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学]
主 题：Endoscopy Paediatric Asia Children Gastroscopy Colonoscopy
摘 要：There has been a rapid expansion in the knowledge of paediatric gastroenterology over the recent decade,with a fast-growing repertoire of diagnostic techniques and management strategies for a wide spectrum of childhood gastrointestinal(GI)*** GI endoscopy is a core competency every paediatric gastroenterologist should possess,and represents one of the most common procedures performed in children for both diagnostic and therapeutic *** there remains a dearth of literature on the utility and outcomes of paediatric GI endoscopy in the Asia-Pacific *** on the diagnostic value of paediatric GI endoscopy would be an important aspect of discussion,with the emergence of inflammatory bowel disease(IBD)and eosinophilic GI disease as increasingly common endoscopic ***-based trends in paediatric GI endoscopy do point towards more IBD and gastroesophageal reflux disease-related complications being diagnosed,with a declining incidence of GI ***,the real-world diagnostic value of endoscopy in Asia must be contextualised to the region-specific prevalence of paediatric GI *** pylori infection,particularly that of multidrug-resistant strains,remains a highly prevalent problem in specific *** functional GI disorders still account for the majority of childhood GI complaints in most centres,hence the diagnostic yield of endoscopy should be critically evaluated in the absence of alarm *** therapeutic endoscopy is also occasionally required for children with ingested foreign bodies,intestinal polyposis or oesophageal strictures requiring *** haemostasis is a potentially life-saving skill in cases of massive GI bleeding typically from varices or peptic *** endoscopic techniques such as capsule endoscopy and balloon-assisted enteroscopy have found traction,particularly in East Asian centres,as invaluable diagnostic and therapeutic tools in the management of IBD,obscu
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